Individual
GENESIS MAXIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3084 WESTFORK DR STE C, BATON ROUGE, LA 70816-2254
(225) 296-6083
(225) 296-6082
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19111
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/02/2016
Last updated
03/07/2025
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